| NPI | 1770950537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 41967) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 24995) |
| 183500000X Pharmacist (Licence: KY 017720) | |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2020-09-16 |